SAVANNAH VAUGHN MOON NP NPI 1336673946

NPI Information

NPI: 1336673946
Provider Name: SAVANNAH VAUGHN MOON, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: CHILTON URGENT CARE LLC

PECOS Registration: Yes

Address:
1210 7TH ST S
CLANTON, AL
ZIP 35045
Phone: (334) 514-3848
Get Directions

Savannah Vaughn Moon, NP is a primary care nurse practitioner in Clanton, AL with 8 years of experience. Savannah Vaughn Moon, NP NPI is 1336673946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1210 7TH ST S
CLANTON, AL
ZIP 35045-724
Phone: (334) 514-3848
Fax: (334) 280-0625

The NPI 1336673946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-140246	ALABAMA	No
2	363LP2300X	Nurse Practitioner	Primary Care	1-140246	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	511-91222	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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